Overview

We leverage firsthand insights into the processes, policies and regulations that impact the health insurance industry to help benefits providers evolve with the ever-changing marketplace. Our team features former federal agency staffers — including the former director of the Insurance Programs Group and Medicare Advantage Operations at the Centers for Medicare and Medicaid Services (CMS) — and a former acting Insurance Commissioner. Drawing from our direct experience re-shaping and improving health insurance across the major markets — Employer Group, Medicaid, Medicare and ACA — we help you stay ahead of the curve and create sustainable and effective business strategies and compliance programs. We advise health plans of all sizes on formation, corporate organization/governance, licensing, provider contracting and strategic transactions. And when disputes emerge at the intersection of health insurance and regulatory frameworks, our litigators intervene; we’re helping health plans recover unpaid government funds through the ACA’s risk corridor and cost-sharing reduction programs, and we’ve helped clients prevail in administrative appeals to regulators. With more changes likely on the horizon, we are well-positioned to help you navigate the future.

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